DX Media Real Estate Media Order Form

Property Information

Address*
City*
State*
Zip Code*
Square Feet*
Lot Size

Appointment Time

Please select an appointment date and time.

Account Information

Email*
Name*
Phone*
Company*
Referral Code

Project Details

Is the home vacant or occupied? * required
Who will be meeting the photographer? If nobody, what is the code or key location? * required
Is there a gate code?
Do you have a specific timing request? (i.e. "it needs to be after 1:00")
Would you like to be notified if an earlier appointment date becomes available?
 
What county is this lot in? * required
What is the APN for this lot?* * required
Please list any specific spaces you would like to highlight or that are most important to you.

Additional Information

Please enter anything else we may need to know (i.e. gate code, special feature of the home to make sure we get, etc.)

Payment Information

Travel Fee
Sub-Total
Sales Tax
Travel Fee
Order Total
Allowance
Payment Required
Due Today
Billing Information
Email Address
Account Password
Billing Information
Address
City
State
Zip Code
DX Media
775-250-6694
katie@dx.media